Dengue is rising again taking few more innocent lives. And also a huge debate has created in current Sri Lankan community due to a child death at a leading private hospital. Although prevention of dengue spread is the mainstay of management, still the identifying at risk patients is very important.
So parents must be advised to return immediately for review if any of the following occur on or beyond 3rd day of the fever:
again. But here he may be still not well & rather he may get worse day by day.
Child is unable to tolerate oral fluid- he vomits whatever fluid given to him orally- water, fruit juice, tea etc.
Child refuses to eat or drink
Feeling extremely thirsty- Child may vomit all the time. But still child may complain of feeling thirsty always.
Severe abdominal pain/ vomiting
Cold and clammy extremities- if you touch your child’s legs or hands you will feel unusual cold like in a dead person. Be careful, please take him immediately.
who attained puberty may not consider much about her menstrual bleeding. Mothers, always question your young daughter. She may not having bleeding from nose, gums or in urine. But she may be bleeding between her periods or may be bleeding excessively. Whatever bleeding (bleeding from nose, gums, in urine, with feces, with sputum) it is important to be careful.
His kidneys will die soon & you will loose your child.
Child behaves abnormally. He may be confused. He may be restless. He may be lethargy. Or he may be irritabe.
Dr. Yapa Wijeratne
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Dr Rikaz Sheriff
MBBS PGCert MSc
Director, Western Hospital
Rikaz Sheriff is responsible for all aspects of innovation and strategy of health informatics solutions of LankaDoctor. Rikaz joined UniverSL Software after working for 5 years as a Senior Medical Officer at Western Hospital where he leads the business development unit with responsibility for marketing strategy, brand management, advertising, and consumer promotions.
He also serves as the chief coordinator for their kidney transplant programme. Rikaz is a life member of the Sri Lanka Medical Association and the Health Informatics Society of Sri Lanka. Rikaz holds a MBBS degree from Baqai University (Pakistan) and a Master's degree in Biomedical Informatics from the Post Graduate Institute of Medicine, University of Colombo. He also works as the Provincial Health Informatician for the Department of Health Services, Western Province.
Dr. Yapa Wijeratne
MBBS University of Perdeniya.
Medical Officer, Mawanella Hospital.
Yapa entered Faculty of Medicine in 2008, following a successful career at the Dharmaraja College, Kandy. While continuing his undergraduate career, he joined UniverSL Software. He completed his MBBS degree from University of Peradeniya & worked as a Temporary lecturer at Department of Basic sciences, Faculty of Dental Sciences, University of Peradeniya. After completing his internship, he is still working at Teaching Hospital Peradeniya.